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Oral lichen planus
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Oral lichen planus
1.
ORAL LICHEN PLANUS MOJTABA GHADAMI Medical university
of ilam
2.
ORAL LICHEN PLANUS ????????? ??????????? ??????? ??????:????????
? ??????? ? ???????????C???? ?????? ??????? ??? ?????? ???? ??????? ???? ?????? ???? ??? ?????? ????. ??????? ???? ?????? ????????? ?????? ????? ???????????? ???? ??????. ????? ??????? ???????????????? ?????? ??? ?????????????? ???????????? ????????. ??????? ???? ???? ??????? ????????????????????? ???????. ??????? ???? ??????? ?????? ??????? ????? ??????? ?????? ???? ?????????? ????? ???????? ??? ????????????? ?????? ????? ???? ????? ??????? ?????? ?????? ????? ???? ??????????????? ?????????????? ????????.
3.
??????:0/5 ¨C 2/2% ?????
?????? ??????? ???? ??????? ?????? ????. ??????? ?????? ???? ???? ???????55?????
4.
clinical appearance Presents with various
manifestation such as ? Reticular ? Papular ? Plaque ? Atrophic ? Ulcerative ? Bullous
5.
?????? ?????? ??????OLP ????????????????
?????? ????? ????? ?????? ?????? ?????? ?????????????????? ?????? ?????. ???????? ??????? ???? ???????? ????????????????????????? ???? ????? ????? ?????????? ???????? ???????. ????? ?????? ???? ??? ??????? ?????? ???? ?????? ???? ?????? ???? ??????? ???? ???? ??????? ??????
8.
PAPULAR ????? ???? ????????????????
??????? ????????? ??????. ??????? ???? ???????? ????? ????????? ?????? ?????? ?????? ?????? ??????? ??????? ?????? ???????????????????.
9.
PLAQUE ???????? ?????
?????? ?????? ?????????? ??????? ???? ???????? ???????? ?????? ???????????? ????? ???????? ????????? ????? ??????????? ???????????? ????????????? ????? ????? ???????:??? ????? ???? ?????????? ??? ????????? ????? ???????? ???????? ??????????? ??????? ???????? ???? ??????????????????? ???? ?????? ??????? ????? ???? ??????? ??? ????? ???? ???????? ?????? ??????? ????? ??????? ???????? ?????? ????? ?OLP???? ??????? ????????? ??????? ??????SCC?????? ????.
10.
BULLOUS ??????????????? ????????? ???????
???????? ?????? ???? ??? ????? ???? ???? ?????? ????? ????? ??????? ????????? ???????? ????????? .
11.
ATROPHIC ??????????????? ?????? ??????
?????? ????? ???? ?????? ?????? ???? ???? ?????????????????? ????? ???? ?????? ???? ???????. ?????????? ?????? ????????? ?????? ???????????? ?????????? ???????? ????? ????. ??????? ???? ??? ????? ???? ???????? ???? ??????? ?????? ????? ?????? ???????????? ?????????????? ??????. ????? ???? ??????? ?????? ???????????????? ???????? ???????????? ????? ???????? ??????.
12.
?????? ?????? ???????
????????OLP ??????? ???? ???????????????? ???? ????? ???????? ????? ???????? ?????? ???? ???????? ????????? ???????? ??? ????? ??????? ??????????? ????????????? ???????????? ???? ????? ???? ?????? ???? ??????? ???? ????? ??????. ?????? ??????? ???? ?????? ??????? ???? ??????? ??????????? ????? ??????? ????? ????? ???? ????? ???? ??????? ???????.
13.
????????? ???????? ????? ???????? ???????
????????15?????????? ??????? ??????? ????OLP????? ???? ??????. ??????? ??????? ???????? ????? ???????? ??????:?????? ???? ?????? ????? ??????? ???? ?????? ??? ????? ???????? ???? ??????? ??? ?????? ?????? ???? ????? ???? ????? ?????? ?????? ???? ???? ??? ???? ?????? ???????. ???????? ??? ????? ????? ???? ???? ???? ??????? ????? ???? ???? ????? ?????? ???? ??????? ??????????????. ???? ??????? ??????? ???????? ?????? ????????? ???? ???? ????? ?????? ????????? ??? ?????? ???????? ??????? ???? ?????? ????? ?????? ??????? ????? ???????? ??????????? ??? ????KOEBNER?????????. ?????? ???? ??????? ???? ??????? ?????? ?????? ?????? ?????????????? ???????????. ????????20???? ??????? ???? ??????OLP?????? ???? ??????? ????? ???????? ????? ???? ?????????? ?????? ???????????????? ???????? ??? ????????? ????????????? ?????????? ?????? ????? ???? ?????? ??????????? ??? ??????????? ????? ???? ??????? ?????????.
14.
DIAGNOSIS ??????????? ??????? ????
???? ?????????? ?????? ??????? ??????? ???? ??????????? ??????? ??????? ???? ??????? ?????? ?????? ????? ??????????? ???????? ???? ?????????? ???????????? ???? ????? ??????.?????? ??????????????????????? ??????. ?OLP???? ?????? ???????? ??????????????? ????? ???????(LCRS)?????? ???? ???????? ???? ??????? ????? ?????? ?????? ????? ???????????? ?????? ???? ???? ?????? ???? ?????? ???? ?????? ?????? ??? ??????? ??? ?????? ?????? ????? OLP?????? ????? ???????? ????????. ?GVHD??????????? ??????? ??????OLP?????? ?????????? ????? ?????? ????? ??????? ???????? ???????. ????????? ????? ??????? ?????? ???? ?????? ??????????? ????? ???????? ???? ?????? ??????? ?????? ???????? ??? ?????? ?????????? ????????.
15.
??????????? ??????????? ??????????
?????? ????????? ???????????? ??????? ???? ??????? ??????? ????? ??????OLP?????. ????? ??????? ?????????DLE? ?????? ???? ???????? ????? ????? ???? ????? ?????? ?????????????????????? ???????????????????? ??? ?????? ???? ????? ??????? ???? ???? ???????. ?OLP????? ??????????? ??????? ???????????? ??????? ????? ????????? ??? ????????? ????? ?????? ??????? ???????????? ????? ????? ???? ????? ??????????. ?OLP??????? ???????? ????????? ????? ???? ???????????????????????? ?????? ??????? ??????.?????????? ??????????? ???????? ?????????? ???? ????? ??????? ??????? ?????? ???? ???? ?????? ??????? ???? ?????? ??????? ???? ???? ???? ???????????????????? ???? ??????.
16.
PATHOLOGY ?????? ??????? ????
????? ?????? ????? ????????? ??????? ?????? ???????????(OLP-LCR-??? ???????? ??????????? ????? ??????? ???? ???????? ???? ??????????? ????? ???????GVHD)??????? ???????. ??????? ???????????????? ??????????????? ???????????????? ??? ?????? ??????????? ??????? ?????? ??????? ?????? ????? ???????? ??????? ????.????? ?????? ???????? ?????? ???? ???????? ????? ????? ??????????? ??????? ???????? ?????? ???? ????????.
17.
????????????????? ??????OLP????? ?????
????? ????: .1????????????????????????? ???? ?????????????????? .2?????? ?????????????????? ?????? ????? ?????? ??????? ???? .3?????????????????? ???????????? ?????? ????? ???? ?????? ??? ???? ??????? ?????? ???????? ????? ????? ???????? ?????????????????????? ????? ???????? ???????? ???? ????? ???? ?????????? ??? ????. ????? ?????? ????? ?????? ????? ????????? ??? ?????? ?????? ??????
19.
& TREATMENT ???????????OLP????? ?????? ???????
?????????? ????? ????????????? ??????? ?????? ??????????? ????? ???????. ???????? ???? ?????? ???????? ????? ?????????? ?????? ???? ????? ???? ????? ??????? ????? ???? ??????.
20.
? Steroids ¨C Betamethasone ¨C
Clobetasol ¨C Dexamethasone ¨C Triamcinolone ? Calcineurin inhibitors ¨C Tacrolimus ¨C Cyclosporin ¨C Pimecrolimus ? Retinoids ? Photo chemotherapy ? Newer traditional medicine ¨C Aloe Vera
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